| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.13 | $17.13 | $17.13 | |
Aetna
| Professional | $17.13 | $20.32 | $22.24 | |
Anthem BCBS
| Facility | $27.00 | $27.00 | $52.11 | |
Anthem BCBS
| Professional | $25.00 | $27.00 | $37.34 | |
Cigna
| Professional | $19.28 | $20.72 | $21.88 |